Organization Active NPI

Glow With Wellness Therapy, Licensed Clinical Social Worker

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1164336269
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GLOW WITH WELLNESS THERAPY, LICENSED CLINICAL SOCIAL WORKER
Practice address
3555 Rosecrans St Ste 114-134
San Diego, CA 92110-3231
Phone
(858) 326-1810
Fax
(858) 326-2043
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Kubota, LCSW, PMH-C
Title
President/Ceo
Phone
(858) 326-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3555 Rosecrans St Ste 114-134
San Diego, CA 92110-3231

Mailing address

3555 Rosecrans St Ste 114-134
San Diego, CA 92110-3231
Phone (858) 326-1810

National Provider Directory

National Provider Directory

Locations

3555 Rosecrans St
Ste 114134
San Diego, CA 92110
Phone (858) 326-1810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1164336269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 ROSECRANS ST STE 114-134",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103231",
            "telephone_number": "858-326-1810",
            "fax_number": "858-326-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 ROSECRANS ST STE 114-134",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103231",
            "telephone_number": "858-326-1810",
            "fax_number": "858-326-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW WITH WELLNESS THERAPY, LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "KUBOTA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "858-326-1810",
        "authorized_official_credential": "LCSW, PMH-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.